Totals
- Total revenue
- $12,127,317
- Total expenses
- $12,256,275
- Contributions and grants received
- $299,487
- Grants paid
- $0
- Program service revenue
- $11,712,971
- Investment income
- $109,347
- Other revenue
- $5,512
- Total assets, end of year
- $7,055,469
- Total liabilities, end of year
- $1,628,644
- Net assets or fund balances, end of year
- $5,426,825
- Program services expenses (Part IX)
- $10,466,385
- Management and general expenses
- $1,789,890
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,466,385
Program services were 85.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$299,487
-
2a · Program service revenue: NET PATIENT REVENUE
total $11,368,862 · related or exempt $11,368,862
-
2b · Program service revenue: DISPATCHING REVENUE
total $164,250 · related or exempt $164,250
-
2c · Program service revenue: CHART HOSTING
total $179,859 · related or exempt $179,859
-
3 · Investment income
total $195 · related or exempt $195
-
7a · Gross sales of assets other than inventory
other assets $128,680
-
7b · Less cost or other basis and sales expenses
other assets $19,528
-
7c · Gain or loss
other assets $109,152
-
7d · Net gain or loss
total $109,152 · related or exempt $109,152
-
11a · Other revenue: EMT CLASS FEES & MISC
total $5,512 · related or exempt $5,512
-
11e · Other revenue, total
$5,512
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $309,722 · management and general $309,722
-
7 · Other salaries and wages
total $6,687,891 · program services $5,938,584 · management and general $749,307
-
8 · Pension plan contributions
total $415,686 · program services $355,442 · management and general $60,244
-
9 · Other employee benefits
total $808,359 · program services $691,206 · management and general $117,153
-
10 · Payroll taxes
total $514,613 · program services $440,032 · management and general $74,581
-
11b · Fees: legal
total $11,973 · management and general $11,973
-
11c · Fees: accounting
total $76,691 · management and general $76,691
-
11g · Fees: other
total $64,694 · program services $64,694
-
12 · Advertising and promotion
total $27,024 · program services $23,107 · management and general $3,917
-
13 · Office expenses
total $16,039 · program services $13,715 · management and general $2,324
-
14 · Information technology
total $280,379 · program services $260,634 · management and general $19,745
-
16 · Occupancy
total $104,343 · program services $89,221 · management and general $15,122
-
17 · Travel
total $5,202 · program services $4,448 · management and general $754
-
19 · Conferences, conventions and meetings
total $9,460 · program services $8,089 · management and general $1,371
-
20 · Interest
total $16,434 · program services $16,434
-
22 · Depreciation, depletion and amortization
total $896,195 · program services $766,312 · management and general $129,883
-
23 · Insurance
total $378,942 · program services $324,023 · management and general $54,919
-
24a · Other expenses: AMB TAXLIC & GAS & OIL
total $301,153 · program services $257,507 · management and general $43,646
-
24b · Other expenses: REPAIRS & MAINT
total $325,448 · program services $278,282 · management and general $47,166
-
24c · Other expenses: PATIENT BILLING
total $467,021 · program services $467,021
-
24d · Other expenses: MEDICAL SUPPLIES
total $267,864 · program services $229,043 · management and general $38,821
-
24e · All other expenses
total $271,142 · program services $238,591 · management and general $32,551
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $1,911,749 · end of year $1,785,829
-
4 · Accounts receivable
beginning of year $1,920,233 · end of year $1,959,668
-
9 · Prepaid expenses and deferred charges
beginning of year $404,919 · end of year $589,114
-
10a · Land, buildings and equipment: cost or other basis
$9,141,796
-
10b · Land, buildings and equipment: accumulated depreciation
$6,420,938
-
10c · Land, buildings and equipment, net
beginning of year $2,627,772 · end of year $2,720,858
-
17 · Accounts payable and accrued expenses
beginning of year $1,116,357 · end of year $1,045,364
-
23 · Secured mortgages and notes payable
beginning of year $192,533 · end of year $583,280
-
27 · Net assets without donor restrictions
beginning of year $5,505,270 · end of year $5,426,825
-
28 · Net assets with donor restrictions
beginning of year $50,513
Mission and programs · 2022
Mission
PROVIDES 911 EMERGENCY AND HOSPITAL AMBULANCE SERVICES IN SCOTT COUNTY: PROVIDES HOSPITAL AMBULANCE SERVICES IN CLINTON COUNTY
-
Provides 911 emergency and non-emergency basic and advance life support ambulance services, Hospital transfer services and dispatching in Scott and Clinton County, IA as a supporting organization for Genesis Health System, Trinity Regional Health Center, Mercy Medical Center Clinton, and Scott County, IA. 911 emergency and non-emergency basic and advance life support services are provided to all patients including those who do not have the resources to pay. Total ambulance dispatches during the year were 35,370
Expenses $10,466,385
As filed on the 2022 return.
Listed in Part VII
-
John HartmanJOHN HARTMAN
DIRECTOR
- Total calculated
- $591,592
- From this org
- $0
- From related orgs
- $563,562
- Other
- $28,030
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $562,004 related
- Bonus
- not reported
- Other
- not reported + $1,558 related
- Deferred
- not reported + $5,692 related
- Nontaxable benefits
- not reported + $22,338 related
- Filer's total
- not reported + $591,592 related
-
Theresa Summers-MainTHERESA SUMMERS-MAIN
EXECUTIVE COMMITTEE
- Total calculated
- $449,226
- From this org
- $0
- From related orgs
- $403,776
- Other
- $45,450
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $328,076 related
- Bonus
- not reported
- Other
- not reported + $75,700 related
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $18,450 related
- Filer's total
- not reported + $449,226 related
-
Rob FriedenROB FRIEDEN
CHAIRMAN
- Total calculated
- $428,411
- From this org
- $0
- From related orgs
- $398,275
- Other
- $30,136
- Hours/week
- 5
Schedule J breakdown matched by us
- Base
- not reported + $295,660 related
- Bonus
- not reported
- Other
- not reported + $102,615 related
- Deferred
- not reported + $5,348 related
- Nontaxable benefits
- not reported + $24,788 related
- Filer's total
- not reported + $428,411 related
-
Dr Joseph LohmullerDR JOSEPH LOHMULLER
TREASURER
- Total calculated
- $308,088
- From this org
- $0
- From related orgs
- $271,674
- Other
- $36,414
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $268,651 related
- Bonus
- not reported
- Other
- not reported + $3,023 related
- Deferred
- not reported + $27,250 related
- Nontaxable benefits
- not reported + $9,164 related
- Filer's total
- not reported + $308,088 related
-
Douglas BoleynDOUGLAS BOLEYN
DIRECTOR
- Total calculated
- $297,543
- From this org
- $0
- From related orgs
- $271,586
- Other
- $25,957
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $269,430 related
- Bonus
- not reported + $2,156 related
- Other
- not reported
- Deferred
- not reported + $3,575 related
- Nontaxable benefits
- not reported + $22,382 related
- Filer's total
- not reported + $297,543 related
-
Michelle PostenMICHELLE POSTEN
DIRECTOR
- Total calculated
- $278,813
- From this org
- $0
- From related orgs
- $251,576
- Other
- $27,237
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $249,138 related
- Bonus
- not reported
- Other
- not reported + $2,438 related
- Deferred
- not reported + $5,005 related
- Nontaxable benefits
- not reported + $22,232 related
- Filer's total
- not reported + $278,813 related
-
Kevin RossmillerKEVIN ROSSMILLER
DIRECTOR
- Total calculated
- $176,793
- From this org
- $0
- From related orgs
- $150,361
- Other
- $26,432
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $148,912 related
- Bonus
- not reported
- Other
- not reported + $1,449 related
- Deferred
- not reported + $3,938 related
- Nontaxable benefits
- not reported + $22,494 related
- Filer's total
- not reported + $176,793 related
-
Linda FrederiksenLINDA FREDERIKSEN
EXEC DIRECTOR
- Total calculated
- $173,947
- From this org
- $147,335
- From related orgs
- $0
- Other
- $26,612
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $147,335
- Bonus
- not reported
- Other
- not reported
- Deferred
- $10,313
- Nontaxable benefits
- $16,299
- Filer's total
- $173,947
-
Paul E AndorfPAUL E ANDORF
EMPLOYEE
- Total calculated
- $138,911
- From this org
- $117,659
- From related orgs
- $0
- Other
- $21,252
- Hours/week
- 55
-
Charles GipsonCHARLES GIPSON
EMPLOYEE
- Total calculated
- $129,694
- From this org
- $110,014
- From related orgs
- $0
- Other
- $19,680
- Hours/week
- 40
-
Jeremy PessmanJEREMY PESSMAN
EMPLOYEE
- Total calculated
- $127,526
- From this org
- $108,283
- From related orgs
- $0
- Other
- $19,243
- Hours/week
- 40
-
David RogisDAVID ROGIS
EMPLOYEE
- Total calculated
- $124,359
- From this org
- $105,426
- From related orgs
- $0
- Other
- $18,933
- Hours/week
- 40
-
Colleen MulhollandCOLLEEN MULHOLLAND
EXECUTIVE COMMITTEE
- Total calculated
- $123,325
- From this org
- $0
- From related orgs
- $99,645
- Other
- $23,680
- Hours/week
- 1
-
Kevin LangeKEVIN LANGE
EMPLOYEE
- Total calculated
- $122,426
- From this org
- $103,850
- From related orgs
- $0
- Other
- $18,576
- Hours/week
- 40
-
Dave KellyDAVE KELLY
DIRECTOR
- Total calculated
- $88,610
- From this org
- $0
- From related orgs
- $69,990
- Other
- $18,620
- Hours/week
- 1
-
Dr Richard VermeerDR RICHARD VERMEER
MEDICAL DIRECTOR
- Total calculated
- $44,728
- From this org
- $44,728
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
Mike MatsonMIKE MATSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Mahesh SharmaMAHESH SHARMA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jane DentenJANE DENTEN
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Corri SpiegelCORRI SPIEGEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dennis GerardDENNIS GERARD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Daniel SternerDANIEL STERNER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Decker PloehnDECKER PLOEHN
VICE-CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Listed persons compensation information (Part I, line 4)
- Part IIIThe following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2022 sponsored by Genesis Health System, EIN 42-1418847, a related orgainzation: Robert W. Frieden- $70,366 and Theresa Main-$49,766. The dollar amount represents the current year contribution made by Genesis Health System on behalf of the individuals to the plan in 2022. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part I
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501C3 · PROVIDES HOSPITAL SERVICES · IA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 January 2024
- IRS schema version
- 2022v5.0
- Source object
- 202400169349301420
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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